Coventry Orthodontic LLC

Coventry Orthodontic LLC is a healthcare organization registered as Orthodontics and Dentofacial Orthopedics Dentistry in Coventry, RI, holding Type 2 (organization) NPI 1124263884 since 2008. The authorized official on file is John Kacewicz, Orthodontist.

✓ Active NPI ✓ Valid NPI checksum

NPI	1124263884
Entity type	Organization (Type 2)
Legal business name	Coventry Orthodontic LLC
Other name	<Unavail>
Practice address	2435 NOOSENECK HILL RD, Coventry, RI, 02816
Phone	4013979400
Fax	4013979402
Enumeration date	2008-12-10
Last updated in NPPES	2008-12-10

Authorized official

Name	John Kacewicz
Title	Orthodontist
Phone	4018846500

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	Secondary	2642	RI
1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	Secondary	3001	RI
1223X0400X	Orthodontics and Dentofacial Orthopedics Dentistry	Primary	1716	RI

Copy-ready billing details

Provider: Coventry Orthodontic LLC
NPI: 1124263884
Taxonomy: 1223X0400X (Orthodontics and Dentofacial Orthopedics Dentistry)
Address: 2435 NOOSENECK HILL RD, Coventry, RI, 02816

Verify this record

Cross-check NPI 1124263884 against the authoritative CMS record: view Coventry Orthodontic LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Coventry Orthodontic LLC located?

The practice location on file with NPPES is in Coventry, RI.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2008-12-10. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-12-10.